California DWC

CA OMFS Update: Physician Services (Q2 2025)

California’s Division of Workers’ Compensation (CA DWC) issued a second-quarter update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Sch...

Sedgwick Owes Practice Over $570K…Has Paid Just $12K

Readers may recall last year’s daisyNews report on how Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. underpaid a California orthopedic provider by...

Sedgwick’s Abuse of Providers Should Terrify Employers

A question for California employers: If Sedgwick Claims Management Services, Inc. (Sedgwick) treats doctors as poorly as our data reveal, what is the impact on your injured e...

Liberty Mutual's Ongoing e-EOR Violations Hurt Employers

Liberty Mutual’s ongoing failure to consistently adhere to California workers’ comp regulations should raise concerns for employers and healthcare providers. Despite c...

CA Farce Alert: $300K to Study Nonexistent UR Data

The California Division of Industrial Relations (DIR) has outdone itself in bureaucratic absurdity—proposing to spend $300,000 on a study without any data to study. In...

CA: IBR Fee Increase - DWC Web Page Lists Wrong Amount

In 2025, California providers must pay more to file for Independent Bill Review (IBR) to dispute improper reimbursements from payers, due to an increased IBR filing fee. ...

CA Audit Complaint: Prime Administrators Fails to Accept e-Bills

Prime Administrators, a Third-Party Administrator (TPA), has been blatantly non-compliant with California workers' comp billing and payment requirements for the last f...

CA OMFS: Additional 2025 Pathology, Clinical Lab Fee Schedule Update

The California Division of Workers’ Compensation (CA DWC) issued an additional update to the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (O...

CA: New Telehealth Billing Requirements for 2025

As part of the updates to the Physician and Non-Physician Practitioner portion of California’s Official Medical Fee Schedule (OMFS) for workers’ comp, the state’s Division of...

Liberty Mutual: 7,369 Audit Complaints Filed With the CA DWC

Liberty Mutualfails to uphold its obligations to workers’ compensation providers, making it even more challenging for providers to treatinjured workers. All...

CA: 2025 Physician Fee Schedule Increases Tomorrow!

California providers and staff, here’s an urgent Friday Task: Prepare for increased reimbursements for workers’ compensation physician services.Effective for dates of ...

CA DWC MPN List Vanishes Again, Again & Again

The California Division of Workers’ Compensation (CA DWC), as we’ve argued (and shown) repeatedly, has long been the poster child for bureaucratic ineptitude. Its handling of...